HESI RN Gerontology Nursing Exam | Older Adult Care Review | 2025/2026 Edition Section 1: Introduction This geriatric-focused guide reviews topics such as cognitive decline, chronic illness management, functional assessment, fall prevention, and polypharmacy. Built for students aiming to specialize in elder care, this A+ graded resource matches HESIs latest content outline, incorporating evidence-based practices from sources like the National Institute on Aging and CDC guidelines as of June 2025. Section 2: Exam Questions and Full Answers 1. What is the primary risk factor for cognitive decline in older adults? A. Sedentary lifestyle B. Aging process C. Poor nutrition D. Social isolation Full Answer: Answer B. Aging process. According to the National Institute on Aging (2025), the natural aging of the brain increases susceptibility to cognitive decline, though modifiable factors like exercise and diet can mitigate progression. 2. Which chronic condition is most prevalent among older adults? A. Asthma B. Hypertension C. Rheumatoid arthritis D. Type 1 diabetes Full Answer: Answer B. Hypertension. The CDC (2025) reports that hypertension affects over 60% of adults aged 65+, driven by vascular changes and lifestyle factors. 3. What is the best initial assessment tool for functional status in older adults? A. Mini-Mental State